Process Specialist

4 weeks ago


Detroit, United States LanceSoft Full time
Job Description
  • Work with MA Project Workstreams (for example: Claims/Pricing, Sales, Enrollment and Billing, Payment Integrity, Product and Benefit Configuration, Finance and Accounting, Provider and Network Mgmt, Health Care and Management, Quality, and Pharmacy) and Business Readiness to create new documentation and updates to support system migration
  • Collects impacts to define current processes
  • Develops well defined processes, policies and procedures with clearly documented accountability for each activity
Top Required Skills/Experience
  • 3+ years in a Healthcare industry with emphasis on Medicare Advantage
  • 3+ years developing documentation
  • 3+ years developing process flows
  • 3+ years training instructor
Required Skills/Experience
  • Visio
  • Awareness in areas such as process design and organizational transformation
  • Proficiency in Microsoft Word, Excel, Project
  • AGILE/JIRA experience
  • Strong Presentation skills including PowerPoint development
  • Health Insurance operations knowledge
Education/Certifications
  • Bachelors degree in a related field is required


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